Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $459.24 / $3,133.00 / $8,955.69	Facility		$459.24	$3,133.00	$8,955.69
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,226.00 / $8,671.25 / $10,779.75	Facility	50	$2,226.00	$8,671.25	$10,779.75
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $78.72 / $78.72 / $195.09	Facility	52	$78.72	$78.72	$195.09
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $31.49 / $31.49 / $78.03	Facility	53	$31.49	$31.49	$78.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.43 / $327.33 / $622.40	Professional		$157.43	$327.33	$622.40
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $108.25 / $596.76 / $784.82	Professional	50	$108.25	$596.76	$784.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,586.00 / $7,613.00 / $13,989.00	Facility		$4,586.00	$7,613.00	$13,989.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.45 / $430.05 / $763.06	Professional		$185.45	$430.05	$763.06
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $189.17 / $452.43 / $784.43	Professional	50	$189.17	$452.43	$784.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.72 / $381.60 / $799.51	Professional		$193.72	$381.60	$799.51
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $174.07 / $375.16 / $702.31	Facility		$174.07	$375.16	$702.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $198.31 / $393.92 / $682.13	Professional		$198.31	$393.92	$682.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,645.00 / $6,090.00 / $14,057.00	Facility		$2,645.00	$6,090.00	$14,057.00
United Facility/Professional Professional Modifier Low / Median / High Price $541.87 / $757.12 / $1,168.40	Professional		$541.87	$757.12	$1,168.40